Free Return-to-School Medical Clearance Letter Template
Return-to-School Medical Clearance Letter
Date: February 10, 2090
Dr. [Your Name]
Pediatrician
Sunrise Medical Clinic
1234 Health Ave.
Los Angeles, CA 90001
To Whom It May Concern,
I am writing to confirm that Emma Grace Thompson, born on July 18, 2050, has been under my care for a recent recovery from a respiratory illness. Following a thorough evaluation and treatment plan, I am pleased to inform you that Emma Grace Thompson has met the necessary criteria for a safe return to school. As of February 10, 2090, she is medically cleared to resume her regular school activities without restrictions.
Medical History:
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Condition/Treatment Summary: Emma was diagnosed with viral pneumonia in early January 2080 and received treatment consisting of antiviral medications, rest, and respiratory therapy.
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Treatment/Interventions: Emma followed a prescribed regimen for a period of 3 weeks, including two rounds of prescribed antibiotics and consistent follow-up care to monitor her recovery.
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Current Status: Emma has fully recovered and has shown no ongoing symptoms of respiratory distress or complications from the illness.
The patient has adhered to the recommended treatment protocols and has demonstrated sufficient progress to return to her usual academic routine. Should there be any further questions or concerns regarding Emma Grace Thompson’s medical condition or any accommodations needed, please do not hesitate to contact me directly at the phone number or email listed above.
Thank you for your cooperation and support in facilitating Emma Grace Thompson's return to school.
Sincerely,
Dr. [Your Name]
Pediatrician
Sunrise Medical Clinic
